go back

South Dakota rates for HCPCS 61697

Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,128.61 / $10,715.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $9,120.11 / $9,332.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $7,244.36 / $8,317.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26